<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">用户id</label>
            <div class="layui-input-block">
                <input type="text" name="uid" class="layui-input" lay-verify="required" placeholder="请输入用户id" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">收货人</label>
            <div class="layui-input-block">
                <input type="text" name="name" class="layui-input" lay-verify="required" placeholder="请输入收货人" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">收货人手机号</label>
            <div class="layui-input-block">
                <input type="text" name="phone" class="layui-input" lay-verify="required" placeholder="请输入收货人手机号" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">地区省</label>
            <div class="layui-input-block">
                <input type="text" name="province_region" class="layui-input" lay-verify="required" placeholder="请输入地区省" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">城市</label>
            <div class="layui-input-block">
                <input type="text" name="city_region" class="layui-input" lay-verify="required" placeholder="请输入城市" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">区县</label>
            <div class="layui-input-block">
                <input type="text" name="district_region" class="layui-input" lay-verify="required" placeholder="请输入区县" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">详细地址</label>
            <div class="layui-input-block">
                <input type="text" name="detailed_address" class="layui-input" lay-verify="required" placeholder="请输入详细地址" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">是否默认 0默认 1不默认</label>
            <div class="layui-input-block">
                <input type="text" name="is_default" class="layui-input" lay-verify="required" placeholder="请输入是否默认 0默认 1不默认" value="1">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>